Leap Orbit Launches Innovation for Overdose Fatality Reviewers, a Key Tool in the Fight to End Opioid Deaths

Columbia, MD – February 7, 2018 - Leap Orbit today announced the launch of the RxOrbit™ Fatality Case Management System.  The new system eases the workflow of medical examiners and overdose fatality review teams as they complete statutory studies of overdose deaths.  Such reviews have quickly threatened to overwhelm medical examiners across the country as communities have grappled with the tragic impacts of the opioid epidemic. 

RxOrbit™ Fatality Case Management System is a cloud-based, fully secure native application in Microsoft Azure that can be licensed by state medical examiners and fatality review teams through an affordable subscription.  An open-source version of the tool, developed in partnership with the Maryland Department of Health Behavioral Health Administration; and CRISP, Maryland’s health information exchange is now available to states as a free download.  The tool was developed through the support of a 2016 U.S. Department of Justice Harold Rogers grant awarded to the Maryland Department of Health to enhance and expand Overdose Fatality Review program activities.

“We are pleased that innovations we’ve developed in the State of Maryland’s fight against the opioid crisis might be impactful across the country,” said David Finney, a partner of Leap Orbit.  “Fatality reviews are critical for understanding what interventions are effective and where to target them, and with our tool fatality reviewers can spend less time on tedious paperwork and more time on what matters.”

In Maryland, the Overdose Fatality Review (OFR) program has enabled multi-disciplinary teams of agency stakeholders to be established at the local jurisdictional level to investigate contributing factors to overdose deaths.    Collectively, the data collected by the teams is gathered and analyzed to improve drug prevention and treatment intervention efforts across the state.  The Fatality Case Management system will make the program’s work more efficient, allowing it to focus on improvements to the quality of referral systems, focus on outreach related to overdose prevention, and to better target naloxone trainings.

“Maryland’s innovative Overdose Fatality Review program brings together local agencies to identify, through confidential case review, system-wide gaps and barriers, to enhance service coordination, and to recommend changes to policy or practice to prevent future overdose deaths,” said Laura Bartolomei-Hill, Overdose Fatality Review Coordinator at the Maryland Department of Health Behavioral Health Administration. “As overdose deaths continue to rise in jurisdictions across the state, the Fatality Case Management system has significantly enhanced communication and data sharing between local and state partners at this crucial time. The system has greatly improved the ability of Local Overdose Fatality Review Teams to efficiently track a growing number of decedents, locally manage and analyze data, and share recommendations and observations.

The RxOrbit™ system works by automating and centralizing the data management process for the fatality review teams.   The source data, such as from vital statistics, are loaded into the tool to automatically generate the team caseload.  The tool is quickly customized to the team’s workflow and populates the individual patient data in more visually meaningful formats enabling the teams to be more efficient and better identify trends. 

The tool can integrate with state prescription drug monitoring databases (PDMP), often a source of important data during the review process.  It is also customizable to support other fatality-review use cases, such as fetal, infant and child mortality review teams.

“Providing support to the state in its response to the opioid crisis is such a high priority at CRISP, and Leap Orbit has helped us do this better in several important ways.  Their work on the Fatality Case Management System is one example, and we would be excited if other states find value in this, whether in the open source tools or through a further Leap Orbit engagement.” said David Horrocks, President of CRISP. 

States interested in learning more about or licensing RxOrbit™ OFR may contact Ashley Wells at awells@leaporbit.com

The open-source OFR code may be downloaded on GitHub at https://github.com/LeapOrbit/ofr.

About Leap Orbit

At Leap Orbit, we have big dreams.  But we also understand that the path to achieving them is lined with opportunities to learn and grow.  Healthcare institutions are being asked to use technology in new and ever more complex ways to transform the way care is delivered and paid for.  Leap Orbit engages trend-setters and policymakers at the federal and state levels to shape the technology that drives the industry.  We understand how to bring large-scale initiatives to market in dynamic, multi-stakeholder environments to build and deliver products that change the way healthcare is delivered.  Learn more at www.leaporbit.com.


Chesapeake Regional Information System for our Patients (CRISP) is a regional health information exchange (HIE) serving Maryland and the District of Columbia. We are a non-profit organization advised by a wide range of stakeholders who are responsible for healthcare throughout the region. The goal of the HIE is to deliver the right health information to the right place at the right time - providing safer, timelier, efficient, effective, equitable, patient centered care. In doing so, CRISP offers a suite of tools aimed at improving the facilitation of care for our region's providers.  Learn more at www.crisphealth.org.

About the Harold Rogers Prescription Drug Monitoring Grant Program

Created in 2002, the primary purpose of the Harold Rogers Prescription Drug Monitoring Grant Program is to enhance the capacity of regulatory and law enforcement agencies and public health officials to collect and analyze controlled substance prescription data and other scheduled chemical products through a centralized database administered by an authorized state agency.  Ongoing funding is used to enhance existing PDMP systems and associated efforts.